| NPI | 1750304549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101240878) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OH 35045475L) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35045475L) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-06-01 |